| NPI | 1871793356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYTTON Snr. VP/Chief Fiscal Officer 718-808-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 080311454) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-04-08 |